Vasculitis & polymyalgia rheumatica

Efficacy of tocilizumab monotherapy after ultrashort glucocorticoid administration to treat giant cell arteritis: three-year follow-up

Rheumatology (Oxford)Published Single-arm clinical trial, long-term follow-up

Authors' conclusion

Drug-free remission was maintained in all but two patients entering long-term extension.

Study context

Population
Patients with newly diagnosed GCA; median age 72 (IQR 67–75) years; 15/18 with cranial symptoms13 entered follow-up
Participants
18 patients
Outcome
Maintenance of efficacy: proportion of patients with complete lasting remission of disease
Follow-up
Week 208
Methodological detailssingle-centre, open-label, Patients in clinical remission stopped tocilizumab (TCZ) at week 52
  • Single-centre
  • Open-label
  • Patients in clinical remission stopped TCZ at week 52

Main finding

As reported in the abstract

Complete lasting (relapse-free) remission

Patients in relapse-free remission at week 208

11 of 18

Patients in drug-free remission for 156 weeks

11 of 13

Further findings

Relapse-free remission · week 52

Patients in relapse-free remission, entered follow-up
13/18

Minor relapses during follow-up (weeks 72, 187 and 200)

Patients with minor relapses
2/13
Remission achieved after restart of TCZ monotherapy in both patients

Original publication

Efficacy of tocilizumab monotherapy after ultrashort glucocorticoid administration to treat giant cell arteritis: three-year follow-up. Rheumatology (Oxford). Published 6 June 2025. doi:10.1093/rheumatology/keaf317

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